2013-10-10T07:24:56-05:00 2013-05-31 161131146 BONADIO & CO LLP 115 SOLAR STREET SYRACUSE NY 13204 990 2012-06-01 161047041 THE CARING COALITION OF CENTRAL NEW YORK CARI 3156341100 990 7TH NORTH STREET LIVERPOOL NY 130883148 CYNTHIA L CHANDLER 3156341100 2013-10-04 1 BETTINA LIPPHARDT P00956232 3152147575 2013-10-04 2012 2016-02-24 21:20:13Z HOSPICE OF CENTRAL NEW YORK CYNTHIA L CHANDLER 990 7TH NORTH STREET LIVERPOOL NY 130883148 9467429 0 X WWW.HOSPICECNY.ORG X 1984 NY END-OF-LIFE CARE TO PATIENTS AND THEIR FAMILIES THROUGH UNIQUE INTERDISCIPLINARY SERVICES. 12 12 117 310 0 0 157915 210555 9313577 8992388 8970 32236 152068 201942 9632530 9437121 0 0 0 0 4638544 4854354 0 0 244916 4408857 4218939 9047401 9073293 585129 363828 8977326 10235775 777837 769182 8199489 9466593 X HOSPICE OF CENTRAL NEW YORK, AS OUR COMMUNITY'S EXPERT RESOURCE AT THE END-OF-LIFE, PROVIDES COMPREHENSIVE COMFORT CARE TO PATIENTS AND FAMILIES THROUGH UNIQUE INTERDISCIPLINARY SERVICES, BEREAVEMENT COUNSELING, EDUCATION AND COLLABORATION. 0 0 7832378 9190590 HOSPICE PROGRAM PROVIDES A SET OF SUPPORTING SERVICES TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES PRINCIPALLY IN THE HOME SETTING. HOSPICE SERVICES ARE ALSO AVAILABLE TO PATIENTS IN NURSING HOMES, HOSPITALS, ASSISTED LIVING AND OTHER CARE FACILITIES. 1,121 PATIENTS SERVED RESULTING IN 51,006 PATIENT CARE DAYS. 26929 QUALIFIED COUNSELORS PROVIDE INDIVIDUAL COUNSELING AND BEREAVEMENT THERAPY FOR COMMUNITY MEMBERS WHO ARE LIVING WITH LOSS. 376 PEOPLE SERVED. SERVICES WERE PROVIDED THROUGH 861 INDIVIDUAL SESSIONS, 278 PHONE CALLS, AND 53 GROUP SESSIONS. 17320 1100 CAMP HEALING HEARTS IS A FOUR DAY BEREAVEMENT CAMP PROVIDING LEARNING, HEALTHY GRIEF AND HOPEFUL LIVING FOR 49 CHILDREN AND TEENS AGES 6-14, WHO HAVE EXPERIENCED THE LOSS OF SOMEONE CLOSE TO THEM. 3315 2640 CARE AT HOME SERVES CHILDREN UNDER THE AGE OF EIGHTEEN, DETERMINED PHYSICALLY DISABLED, WHO WOULD BE AT RISK OF INSTITUTIONALIZATION. CHILDREN ARE PROVIDED ACCESS TO PALLIATIVE CARE SERVICES THAT ENABLE THEM TO REMAIN WITH THEIR FAMILY AT HOME, WHILE ADDRESSING END OF LIFE ISSUES RELATED TO THEIR ILLNESS. SERVICE WAS PROVIDED TO 2 CHILDREN, WHO WERE IN THE PROGRAM FOR 488 DAYS. 3315 2640 7879942 1 1 0 0 0 0 0 0 0 1 1 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 59 0 1 117 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 NY X THOMAS MARONEY 3156341100 990 7TH NORTH ST LIVERPOOL NY 13088 CARL I AUSTIN JR 1.00 X 0 0 0 PAUL J CURTIN JR ESQ 0.10 1.00 X 0 0 0 CATHERINE GREEN 0.10 X 0 0 0 MARY HUNTINGTON 1.00 X X 0 0 0 ROZ LETIECQ 3.00 X X 0 0 0 MARK MUTHUMBI 0.10 X 0 0 0 JOSEPH NAVONE MD 0.10 X 0 0 0 MARYANN ROEFARO 1.50 X X 0 0 0 MARTIN SCHWAB ESQ 0.10 1.00 X 0 0 0 ANNE MARIE MULLIN 0.10 X 0 0 0 CHRISTOPHER DIDIO 0.10 1.00 X 0 0 0 RACHEL WINDOVER 0.10 X X 0 0 0 CAROL GAVAN 0.10 X 0 0 0 MICHAEL LUTON 1.00 X X 0 0 0 LISA SMITH 0.10 X 0 0 0 LYNN STEENBERG 0.10 X 0 0 0 CYNTHIA CHANDLER 40.00 1.00 X 114571 0 10641 THOMAS MARONEY 40.00 1.00 X 79012 0 10911 JUDITH SETLA MD 30.00 X 122378 0 5081 ANTOINETTE PAGLIA 40.00 X 13672 0 1049 CARYN HUGHES 0.00 20.00 X 0 48009 0 329633 48009 27682 8 0 0 0 HOME AIDES OF CENTRAL NEW YORK 723 JAMES STREET SYRACUSE NY 13203 CONTRACTED HHA'S 918845 HOSPICE PHARMACIA BOX 510818 PHILADELPHIA PA 191750818 CONTRACTED MEDICATIONS 499664 VAN DUYN HOME & HOSPITAL 5075 W SENECA TURNPIKE SYRACUSE NY 13215 CONTRACTED RESIDENTIAL SERVICES 481634 FRANCISCAN HEALTH SUPPORT PO BOX 2237 SYRACUSE NY 132202237 CONTRACTED MEDICAL EQUIPM'T & SUPPLIES, 306678 ROSEWOOD HEIGHTS NURSING HOME 614 S CROUSE AVE SYRACUSE NY 13210 CONTRACTED RESIDENTIAL SERVICES 236644 8 200046 10509 210555 HOSPICE SVCS - MEDICAR 624100 8273177 8273177 HOSPICE SVCS - OTHER 624100 715321 715321 CARE AT HOME 624100 2640 2640 CAMP HEALING HEARTS 624100 1100 1100 150 150 8992388 33105 33105 29439 30308 -869 -869 -869 DEVELOPMENT REIMBURSEM 561000 199391 199391 2551 2551 201942 9437121 9194330 0 32236 X 385128 132356 225247 27525 3548039 3062349 338041 147649 119574 103291 10339 5944 509027 430117 55371 23539 292586 239117 40341 13128 3889 3889 20950 20950 3799 3799 2182282 2171733 10284 265 90760 90760 121577 96655 21673 3249 46994 33484 5846 7664 127531 92143 28861 6527 152230 152124 106 11243 1160 10083 129341 93436 28975 6930 45179 36628 6556 1995 PATIENT CARE ANCILLIARI 1216634 1216634 MEMBERSHIP DUES 28451 1606 26845 HR EXPENSE 11027 9931 1096 BAD DEBTS 9265 9265 17787 7178 10108 501 9073293 7879942 948435 244916 749524 880398 2540056 1935288 1044084 977907 98623 77788 4334227 2087646 2264145 2246581 1040228 2280894 3077585 8977326 10235775 777837 769182 777837 769182 X 7918107 9156204 39806 76689 241576 233700 8199489 9466593 8977326 10235775 X 363828 19813 883463 X X 0 1 X 1 0 X 714108 539088 503541 157915 210555 2125207 6365693 8907362 8395836 9313577 8992388 41974856 7079801 9446450 8899377 9471492 9202943 44100063 0 0 0 44100063 3341 1513 3801 8970 33105 50730 3341 1513 3801 8970 33105 50730 168781 157345 143260 150547 201942 821875 7251923 9605308 9046438 9631009 9437990 44972668 0.98060 0.98130 0.00110 0.00060 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1884798 367598 241182 0 2493578 1911131 35391 -59434 2290 1884798 1707031 24417 188843 9160 1911131 1597582 21709 87740 1707031 1947741 60292 -410451 1597582 0.88830 0.09370 0.01800 0 1 1 230000 230000 3154091 1244831 1909260 845453 774588 70865 104683 68227 36456 2246581 OTHER RECEIVABLES 383 DUE FROM HOSPICE FOUNDATION OF CENTRAL NEW YORK, INC. 3833 INTEREST IN NET ASSETS OF HOSPICE FOUNDATION OF CENTRAL NEW YORK, INC. 3073369 3077585 X 10336598 19813 883463 903276 9433322 3799 3799 9437121 9069494 0 9069494 3799 3799 9073293 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: ENDOWMENT FUNDS ARE HELD BY HOSPICE FOUNDATION OF CENTRAL NEW YORK, INC. AND ARE TO BE USED TO PROVIDE FUTURE FUNDING FOR HOSPICE'S PROGRAMS. DUE TO THE RELATIONSHIP BETWEEN THE HOSPICE AND THE FOUNDATION, THE ENDOWMENT FUNDS OF THE FOUNDATION ARE INCLUDED IN THE NET ASSETS OF THE HOSPICE. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION, EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE). THE ORGANIZATION ALSO HAS BEEN CLASSIFIED BY THE INTERNAL REVENUE SERVICE AS AN ENTITY THAT IS NOT A PRIVATE FOUNDATION UNDER SECTION 509(A) OF THE CODE. FOR TAX-EXEMPT ENTITIES, THEIR TAX-EXEMPT STATUS ITSELF IS DEEMED TO BE AN UNCERTAINTY, SINCE EVENTS COULD POTENTIALLY OCCUR TO JEOPARDIZE THEIR TAX-EXEMPT STATUS. AS OF MAY 31, 2013 AND 2012, THE ORGANIZATION DOES NOT HAVE A LIABILITY FOR UNRECOGNIZED TAX BENEFITS. THE ORGANIZATION FILES INCOME TAX RETURNS IN THE U.S. FEDERAL JURISDICTION AND NEW YORK STATE. THE ORGANIZATION IS GENERALLY NO LONGER SUBJECT TO U.S. FEDERAL AND STATE INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2010. PART XI, LINE 2D - OTHER ADJUSTMENTS: INTEREST IN NET ASSETS OF HOSPICE FDN OF CNY FOR YEAR END 5/31/13 883,463. FORM 990, PART VI, SECTION B, LINE 11 HOSPICE PROVIDES A DRAFT COPY OF THE IRS FORM 990 TO THE TREASURER OF THE BOARD FOR REVIEW PRIOR TO COMPLETION AND FILING WITH THE IRS. FORM 990 IS REVIEWED BY THE JOINT EXECUTIVE AND FINANCE COMMITTEES ON BEHALF OF THE FULL BOARD PRIOR TO SUBMISSION. A FINAL DRAFT IS THE PROVIDED TO THE BOARD OF DIRECTORS FOR APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY THE CEO AND CHIEF COMPLIANCE OFFICER ADMINISTER THE DISTRIBUTION, RETURN, REVIEW, INVESTIGATION AND FOLLOW UP DISCLOSURE OF THE "MEMBER ACKNOWLEDGEMENT OF BOARD POLICY ON CONFLICTS OF INTEREST" FORMS. FORM 990, PART VI, SECTION B, LINE 15A THE EXECUTIVE COMMITTEE ANNUALLY REVIEWS AND APPROVES PERFORMANCE GOALS AND OBJECTIVES WITH RESPECT TO COMPENSATION BASED ON THE CEO'S EVALUATION. AN INDEPENDENTLY PUBLISHED SALARY GUIDE IS ALSO USED TO ASSIST IN THE DETERMINATION OF COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 A HIGH LEVEL FINANCIAL PICTURE IS PROVIDED IN THE HOSPICE'S ANNUAL REPORT, WHICH IS AVAILABLE TO THE PUBLIC AND OUR WEBSITE. IRS FORMS 990 AND 1023 WILL BE PROVIDED TO ANY INDIVIDUAL UPON WRITTEN OR IN PERSON REQUEST WITHOUT CHARGE OTHER THAN A REASONABLE CHARGE FOR COPYING AND POSTAGE. OTHER FEES FORM 990, PART IX, LINE 11G CONTRACTED NURSES: PROGRAM SERVICE EXPENSES 50,821. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 50,821. CONTRACTED NURSING HOME ROOM AND BOARD: PROGRAM SERVICE EXPENSES 966,207. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 966,207. CONTRACTED HOME HEALTH AIDES: PROGRAM SERVICE EXPENSES 964,889. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 964,889. CONTRACTED PHYSICIANS: PROGRAM SERVICE EXPENSES 77,065. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 77,065. CONTRACTED INPATIENT SERVICES: PROGRAM SERVICE EXPENSES 98,478. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 98,478. OTHER CONTRACTED PATIENT CARE AND ADMINISTRATIVE SERVICES: PROGRAM SERVICE EXPENSES 14,273. MANAGEMENT AND GENERAL EXPENSES 10,284. FUNDRAISING EXPENSES 265. TOTAL EXPENSES 24,822. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: INTEREST IN NET ASSETS OF HOSPICE FDN OF CNY FOR YEAR ENDING 5/31/13 883,463. RESPONSIBILITY FOR AUDIT FORM 990 PART XII LINE 2C THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT. THE COMMITTEE REVIEWS THE RESULTS OF THE AUDIT WITH THE INDEPENDENT AUDITORS AND HAS RESPONSIBILITY FOR RECOMMENDING FINAL APPROVAL OF THE AUDITED FINANCIAL STATEMENTS BY THE BOARD OF DIRECTORS. THE COMMITTEE ALSO APPOINTS THE INDEPENDENT AUDITORS. HOSPICE FOUNDATION OF CNY INC 990 7TH NORTH STREET LIVERPOOL NY 13088 161438980 RECEIVE GRANTS FOR HOSPICE NY 501(C)(3) LINE 11A, I THE CARING COALITION OF CNY 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 HOSPICE FOUNDATION OF CENTRAL NEW YORK INC C 172020 HOSPICE ANNUAL SUPPORT REQUEST HOSPICE FOUNDATION OF CENTRAL NEW YORK INC Q 199391 COSTS INCURRED HOSPICE FOUNDATION OF CENTRAL NEW YORK INC C 27986 EXPENSES FOR RESTRICTED GRANTS